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Kelly Phan
Family Nurse Practitioner in Milpitas, California
NPI 1316601396

Kelly Phan is a Family Nurse Practitioner based in Hayward, CA and is specialized in Family. Kelly Phan practices in Milpitas, CA. The NPI Number for Kelly Phan is 1316601396 and holds a License No. 95018604 (California).

The current practice location address for Kelly Phan is 1313 N Milpitas Blvd Ste 265, Milpitas, CA and can be reached out via phone at 408-770-9480.

Location: 1313 N Milpitas Blvd Ste 265, Milpitas, CA, 94541-7301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316601396
Provider Name
Kelly Phan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1313 N Milpitas Blvd Ste 265, Milpitas, CA, 94541-7301
Phone Number
408-770-9480
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1313 N Milpitas Blvd Ste 265
City
Milpitas
State
California
Zip
95035-3190
Phone Number
408-770-9480
Fax Number
person
Provider Business Mailing Address Details
Address
1313 N Milpitas Blvd Ste 265
City
Milpitas
State
California
Zip
95035-3190
Phone Number
408-770-9480
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95018604 (California)
Definition
Definition to come...
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